| Infectious Diseases Associates, Pc | |
|
411 Merrimack St Suite 201 Methuen MA 01844-5821 | |
| (978) 689-2510 | |
| (978) 689-3510 |
| Full Name | Infectious Diseases Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 411 Merrimack St, Methuen, Massachusetts |
| Authorized Official Name and Position | Venugopal R Saddi (OWNER) |
| Authorized Official Contact | 9786892510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Associates, Pc 411 Merrimack St Suite 201 Methuen MA 01844-5821 Ph: (978) 689-2510 | Infectious Diseases Associates, Pc 411 Merrimack St Suite 201 Methuen MA 01844-5821 Ph: (978) 689-2510 |
| NPI Number | 1497930085 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 04/02/2012 |
| Medicare PECOS PAC ID | 0042391625 |
|---|---|
| Medicare Enrollment ID | O20080122000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497930085 | NPI | - | NPPES |
| 9787739 | Medicaid | MA | |
| DN6781 | Other | MA | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 223439 (Massachusetts) | Primary |
| Provider Name | Venugopal R Saddi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194754309 PECOS PAC ID: 9032152749 Enrollment ID: I20050823001005 |
| Provider Name | Nicole Jarjoura Sleiman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831370402 PECOS PAC ID: 6305996687 Enrollment ID: I20220104001597 |
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